| James T Tippett, MD | |
|
1210 Commerce Dr Ste 106, Greensboro, GA 30642 | |
| (706) 999-0243 | |
| (706) 999-0245 |
| Full Name | James T Tippett |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1210 Commerce Dr Ste 106, Greensboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235225822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19792 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 019792 (Georgia) | Primary |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Entity Name | Pmc Long Term Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699396457 PECOS PAC ID: 9638595754 Enrollment ID: O20200819001738 |
| Mailing Address | Practice Location Address |
|---|---|
| James T Tippett, MD 1210 Commerce Dr Ste 106, Greensboro, GA 30642-7447 Ph: (706) 510-3659 | James T Tippett, MD 1210 Commerce Dr Ste 106, Greensboro, GA 30642 Ph: (706) 999-0243 |
Alejandra Garcia Rychtarikova, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St, Greensboro, GA 30642 Phone: 706-453-1201 Fax: 706-454-0337 | |
Sonia Suda, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St, Greensboro, GA 30642 Phone: 706-453-1201 | |
Julian C Hutchins Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Commerce Dr Ste 108, Greensboro, GA 30642 Phone: 706-999-0243 Fax: 706-999-0245 | |
Juan Luis Pimentel Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Cowles Clinic Way Ste Cy-300, Greensboro, GA 30642 Phone: 706-410-2111 | |
Dr. Arun Kumar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Cowles Clinic Way Ste Cy-300, Greensboro, GA 30642 Phone: 706-410-2111 | |
Itoro Bassey Edet Daniels, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St, Greensboro, GA 30642 Phone: 706-454-5114 Fax: 706-454-5199 |